What causes inverted nipples?

Patient's question:

Since the beginning of the development of my breasts, they have been uneven in size, with one being larger than the other. As I have gotten older, I have noticed that one breast has inverted nipples, while the other is normal and soft but somewhat weak. What could be the reason for this?

Doctor's answer:

You have experienced this retraction of the nipple again, which is likely caused by congenital nipple hypoplasia. It may be related to a smaller number of estrogen receptors in the nipple or a lack of sensitivity to estrogen. Nipple retraction can affect the overall appearance of the breast and may also lead to breast inflammation. The main concern is its impact on future breastfeeding. In daily life, you can manually perform traction to help correct it.

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